| Dr Khushbu Aggarwal Gopalakrishnan, DDS | |
|
3081 Teagarden St, San Leandro, CA 94577-5720 | |
| (510) 347-4620 | |
| Not Available |
| Full Name | Dr Khushbu Aggarwal Gopalakrishnan |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 3081 Teagarden St, San Leandro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841604048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 64815 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | DDS64815 (California) | Primary |
| Entity Name | The Davis Street Community Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215358924 PECOS PAC ID: 6800956079 Enrollment ID: O20141204000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Khushbu Aggarwal Gopalakrishnan, DDS 3110 Kerner Blvd, San Rafael, CA 94901 Ph: (415) 448-1500 | Dr Khushbu Aggarwal Gopalakrishnan, DDS 3081 Teagarden St, San Leandro, CA 94577-5720 Ph: (510) 347-4620 |
Mr. Jeffrey R Clayton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 345 Estudillo Ave, Suite 100, San Leandro, CA 94577 Phone: 510-483-5111 Fax: 510-483-9793 | |
Dr. John J Jaber, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 286 Juana Ave, San Leandro, CA 94577 Phone: 510-895-1470 Fax: 510-895-1473 | |
Dr. Chris Junbum Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1598 Washington Ave, San Leandro, CA 94577 Phone: 510-545-4588 | |
Dr. Youjia Ma Ferdowsian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1598 Washington Ave, San Leandro, CA 94577 Phone: 510-545-4588 | |
Michelle Ma, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1598 Washington Ave, San Leandro, CA 94577 Phone: 626-485-8388 | |
Audrey Min, Dentist Medicare: Not Enrolled in Medicare Practice Location: 680 Bancroft Ave, San Leandro, CA 94577 Phone: 510-569-0218 | |
Vian Ngo, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1598 Washington Ave, San Leandro, CA 94577 Phone: 510-545-4588 |